What is a common symptom in paraneoplastic myelopathy?

In paraneoplastic myelopathy, urinary incontinence is a common symptom due to the involvement of the spinal cord and its pathways that control bladder function. This condition arises associated with malignancies and can lead to dysfunction in the neuronal pathways responsible for urinary control. As tumors release certain proteins or trigger autoimmune mechanisms, they can directly affect the spinal cord's ability to relay signals necessary for normal bladder function.

It's important to note that while other symptoms such as rash, postural hypotension, and visual disturbances may be associated with various neurological or paraneoplastic syndromes, they are not the hallmark features of paraneoplastic myelopathy. Urinary incontinence specifically highlights the disruption in neural processing or communication from the spinal cord, illustrating the condition's impact on autonomic and motor functions.